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City of Everett <br />Sewer Application <br />No. 25824 <br />Service Address_ <br />Billing Address_ <br />City, State, Zip _ <br />Owner (Mortgagor) <br />Billing Name_ <br />DATE <br />2�oe ,�o,gau �.. <br />607 Lqiaa Dr. <br />�ws�tt� 1fA <br />iwss Lw�oa — <br />S�r _ <br />Connection BY �-� ��=�il! So�� �e. <br />Address 2�16 - uLt ��� gu�� 98218 <br />Phone ��"1915 <br />Utility Account No. <br />30.00 <br />Permit <br />Connection Charge(s) ��' <br />30.00 <br />Total Fee <br />gp�cial utllitY !N. Orain�no� 117I-BS <br />vat�r S �8.02 <br />.eM.r loo.ss ;, �7 <br />__.-_� $ 138.24 f - � <br />1 �/ i. <br />Signed -- -_— / , r�.. . <br />cu:comer <br />$ewer District <br />DESCRIPTION: 6� <br />Lot �6 � 27 Block Monthly Sewer Service <br />Plat ��tt <br />Unplatted Description _ Monthly Sewer Constr. <br />�� Type Permit: <br />Remarks: <br />i�wr DamMatioR <br />IMPORTANT! <br />CALL 1�800-424-5555 48-HOURS <br />pRIOR TO D�GGING <br />CALL 2595811 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Abutting Lot Line <br />N, S, E, W_ <br />Approved By � R' �L <br />CitV Enpineer <br />Issued By ►'��'9u°t =' M°r�od <br />Inspection By���'��'"" <br />Date I nspected � G �7 <br />No. 25824 <br />I�!SPECTION <br />